Jessica Michelle Nelson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

19047 Issued in NE

Practice address

PO Box 157
Wynot, NE 68792-0157

Phone

(402) 357-2121

Fax

(402) 357-2524

NPI assigned

Jan 23, 2026

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Dist 101 Wynot Public School

  • Local Education Agency (LEA)
  • Wynot, NE
  • NPI 1184369027
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2026.

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1629927520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WALNUT ST",
            "city": "MASKELL",
            "state": "NE",
            "postal_code": "687519713",
            "telephone_number": "402-357-2121",
            "fax_number": "402-357-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "WYNOT",
            "state": "NE",
            "postal_code": "687920157",
            "telephone_number": "402-357-2121",
            "fax_number": "402-357-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "19047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Dist 101 Wynot Public School
• Janelle Haberman
• Kyley Alyse Walders
• Tammy Lea Wieseler, RN
• Wynot Ambulance Service

• All providers in Wynot, NE
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.